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Myofascial Pain & Repetitive Strain Injuries

Myofascial Pain Syndrome Is Inflammation Of The Body’s Soft Body Tissues

The centers around sensitive points in your muscles called trigger points. These trigger points, also called fascia, are connective tissue that covers the muscles and can be painful when touched and the pain can spread throughout the affected muscle. People with myofascial pain syndrome have muscle pain that persists or worsens. Myofascial pain caused by trigger points has been linked to many types of pain, including headaches, jaw pain, neck pain, low back pain, pelvic pain, and arm and leg pain. In some cases, the area where a person experiences the pain may not be where the myofascial pain generator is located. Experts believe that the actual site of the injury or the strain prompts the development of a trigger point that causes pain in other areas.



Typically Myofascial pain develops from muscle injuries from excessive or repetitive strain on a particular muscle, tendon, or ligament. An injured intervertebral disc, fatigue, repetitive motions, and other medical conditions such as heart attack and stomach irritation can cause Myofascial Pain.



Trigger points can be identified by pain that results when pressure is applied to an area of a person’s body. The four types of trigger points that can be diagnosed are:

  • Active Trigger Point – an area of extreme tenderness that lies within the skeletal muscle and which is associated with a local or regional pain.
  • Latent Trigger Point – is an inactive area that has the potential to act like a trigger point.
  • Secondary Trigger Point – is a highly irritable spot in a muscle that can become active due to a trigger point and muscular overload in another muscle.
  • Satellite Myofascial Point – is a highly irritable spot in a muscle that becomes inactive because the muscle is in the region of another trigger pain.


Dr. Magaziner’s philosophy is to start with the more conservative treatments (less invasive) first such as rest, medication, bracing, ergonomic changes, physical therapy, acupuncture, chiropractic and laser therapy. If the condition does not respond to conservative care some possible treatments include: trigger point injections, acupuncture, PRP, prolotherpy or joint injections.